Revenue Cycle Manager

Rowan Diagnostic Clinic, PA•Salisbury, NC

14h

About The Position

ESSENTIAL FUNCTIONS: Revenue Cycle Leadership: Oversee the day-to-day activities that complete the revenue cycle management process, ensuring all facets—coding, billing, AR management, cash posting, patient access, and customer service—are efficient, accurate, and compliant with regulatory standards. Ensure timely revenue generation and payment processing. Coding Expertise & Compliance: Oversee the coding operations by ensuring that coding teams adhere to national coding guidelines (ICD-10, CPT, HCPCS) and payer-specific requirements. Monitor and enforce correct coding practices for accurate reimbursement, minimizing claim denials due to coding errors. Accounts Receivable (AR) Management: Oversee the management of the AR process, ensuring timely and accurate processing of all claims. Monitor AR metrics such as days in AR, denial rates, and collection percentages, working with the AR team to identify areas for improvement. Patient Billing & Customer Service: Oversee the patient billing process to ensure bills are clear, accurate, and processed in a timely manner. Ensure all insurance and patient payments are posted and reconciled timely and accurately. Collaborating with the operations and clinical leads to resolve patient inquiries, billing disputes, and concerns, ensuring the highest levels of customer satisfaction. Credentialing Management: Oversee provider credentialing process. Team Leadership & Development: Manage and mentor revenue cycle teams, work with DOO in setting clear expectations for performance and quality standards. Provide ongoing education and training opportunities to staff on coding changes, payer updates, and best practices in AR management. Foster a high-performance culture with a focus on accountability, accuracy, and efficiency. Value-Based Care & ACOs: Lead efforts to align the revenue cycle processes with value-based care models, ensuring the organization meets all performance and reporting requirements for Accountable Care Organizations (ACOs), risk-based contracts, and other alternative payment models. Compliance & Regulation: Ensure that the revenue cycle operations comply with all applicable local, state, and federal regulations, as well as payer-specific rules and guidelines. Keep the team updated on regulatory changes and their impact on billing, coding, and AR management practices. Other duties as assigned

Requirements

Bachelors Required in Business Administration, Finance, or Healthcare Management preferred.
Accounts receivable: 2 years (Required)
Leadership : 5 years (Required)
CPC or equivalent required
Prior supervisory experience desired.
Three years of insurance claims filing, or patient billing experience required.
General working knowledge of Microsoft Office Products; specifically, Word, Excel, and PowerPoint required.
Strong leadership and communication skills required.